Identities/MBR-003249

Gold, golden identity

Alan M Aguilar

6 source records from 3 feeds.

MBR-003249Verified6 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR: Alan
Middle nameCLM: M
Last nameENR: Aguilar
Date of birthENR: 1941-11-05
GenderENR: M
Member IDENR: UHC-72077-72
SSNENR: •••-••-6116
PhoneENR: 5943606724
Email—: —
AddressENR: 7777 Hillcrest Rd
CityENR: Miami
StateENR: FL
ZIPENR: 33170
GroupENR: GRP-0856
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

TPA ×2ENR ×1CLM ×3

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
TPA-52214	TPA	2026-01-11	Alan Aguilarflagged	1941-11-05	—	5943606724	7777 Hillcrest Rd, Miami, FL	Scored	1.00	—
ENR-106668	ENR	2026-03-03	Alan Aguilarflagged	1941-11-05	UHC-72077-72	5943606724	7777 Hillcrest Rd, Miami, FL	Scored	1.00	—
CLM-405069	CLM	2026-06-10	Alan Aguilarflagged	1941-11-05	—	5943606724	7777 Hillcrest Rd, Miami, FL	Scored	1.00	—
CLM-405068	CLM	2026-07-25	Alan Aguuilarflagged	1941-11-05	UHC-72077-72	—	—	Rule	0.99	D1 member id + dob exact
TPA-52215	TPA	2026-07-27	Alan Aguilarflagged	1941-11-05	UHC-72077-72	—	7777 Hillcrest Rd, Miami, FL	Scored	1.00	—
CLM-405070	CLM	2026-07-31	Alan Aguilarflagged	1941-11-05	UHC-72077-72	5943606724	7777 Hillcrest Rd, Miami, FL	Scored	1.00	—

Evidence

15 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶TPA-52214TPACLM-405069CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106668 ENRCLM-405069CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52214TPACLM-405070CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405069CLMCLM-405070CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52214TPAENR-106668 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52214TPATPA-52215TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405069CLMTPA-52215TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106668 ENRCLM-405068CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106668 ENRCLM-405070CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405068CLMCLM-405070CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52215TPACLM-405070CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106668 ENRTPA-52215TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405068CLMTPA-52215TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52214TPACLM-405068CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-405069CLMCLM-405068CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405069 → UHC-72077-72 (Alan Aguilar)
ACT-002300, Claims processor
Care coordination outreachProposed
Alan Aguilar: 3 claims, no attributed provider
ACT-018015, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2209da270a
scoring_agent, CLM-405070, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:54:38Record linked automatically677adc1584
scoring_agent, TPA-52215, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:54:38Record linked automatically22c734e655
matching_agent, CLM-405068, identity id MBR-003249, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106668
2026-10-19 19:54:38Record linked automatically72360ad63b
scoring_agent, CLM-405069, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:54:38Record linked automaticallyace88d11da
scoring_agent, ENR-106668, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:54:38Record linked automaticallyb80bb21b86
scoring_agent, TPA-52214, identity id MBR-003249, confidence 1, method probabilistic, matched record ENR-106668, policy version 1
2026-10-19 19:52:08Record linked automatically6e5607fd18
scoring_agent, CLM-405070, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:52:08Record linked automatically63e9760fb6
scoring_agent, TPA-52215, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:52:08Record linked automaticallycbc1df000b
matching_agent, CLM-405068, identity id MBR-003249, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106668
2026-10-19 19:52:08Record linked automatically3411d913d6
scoring_agent, CLM-405069, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:52:08Record linked automatically89bc117074
scoring_agent, ENR-106668, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:52:08Record linked automatically037bf5209f
scoring_agent, TPA-52214, identity id MBR-003249, confidence 1, method probabilistic, matched record ENR-106668, policy version 1
2026-10-19 19:45:41Record linked automatically1ca9202e47
scoring_agent, CLM-405070, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:45:41Record linked automaticallye5b3129b17
scoring_agent, TPA-52215, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:45:41Record linked automaticallyafaf9294ae
matching_agent, CLM-405068, identity id MBR-003249, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106668
2026-10-19 19:45:41Record linked automatically9fc31a7897
scoring_agent, CLM-405069, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:45:41Record linked automatically374b97e137
scoring_agent, ENR-106668, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:45:41Record linked automatically1b822a297a
scoring_agent, TPA-52214, identity id MBR-003249, confidence 1, method probabilistic, matched record ENR-106668, policy version 1
2026-10-19 19:32:31Record linked automaticallyd3cca04580
scoring_agent, CLM-405070, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:32:31Record linked automatically5661a279d3
scoring_agent, TPA-52215, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:32:31Record linked automatically91b2d7df65
matching_agent, CLM-405068, identity id MBR-003249, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106668
2026-10-19 19:32:31Record linked automaticallybe0891b04e
scoring_agent, CLM-405069, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:32:31Record linked automatically3eea525cf6
scoring_agent, ENR-106668, identity id MBR-003249, confidence 1, method probabilistic, matched record TPA-52214, policy version 1
2026-10-19 19:32:31Record linked automatically374819abe7
scoring_agent, TPA-52214, identity id MBR-003249, confidence 1, method probabilistic, matched record ENR-106668, policy version 1
2026-10-19 19:31:28Record linked automatically19dfcf4e7b
scoring_agent, CLM-405070, identity id MBR-030609, confidence 1, method probabilistic, matched record CLM-405071, policy version 1
2026-10-19 19:31:28Record linked automatically9c18600d3a
matching_agent, ENR-106668, identity id MBR-021006, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106667
2026-10-19 19:31:28Record linked automatically62f77dcdb8
matching_agent, CLM-405068, identity id MBR-015135, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106632
2026-10-19 19:31:28Record linked automatically623959d6c2
scoring_agent, CLM-405069, identity id MBR-006139, confidence 1, method probabilistic, matched record TPA-52273, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-014629	2026-07-22	Harbor Primary Care Associates out of network	90471, 99213	$186.00	$71.10	Approved	Approved
CLM-2026-019475	2026-06-14	Lakeside Digestive Health Center in network	99214	$325.00	$141.50	Approved	Approved
CLM-2026-003610	2026-05-05	Northgate Clinical Laboratories in network	80061	$44.00	$0.00	Approved	Approved